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Re: advice about blood typing for cyber-friendFrom: anonymous@obgyn.netWed, 9 Aug 2000 10:33:15 -0500 (CDT)
At Wed, 9 Aug 2000, Marcia wrote: > >I am asking this out of concern for a cyber-friend. She is about a >month away from delivery, I believe. She is going through some very >stressful family problems and recently had to move away from her regular >doctor in Virginia. She's now seeking healthcare in a rural area in >Indiana. > >Anyway, for most of her life, she believed herself to be Rh- (says it >was on her birth certificate), but recently, her blood has been typed >twice as +. Should she have further concerns about this? Because of the >circumstances, she has missed getting a Rhogam shot on time, plus >there's the bit about her not needing it because she's positive. This >is not her first pregnancy. > >I'm not really sure that she's all that concerned about it, since she's >now had *two* blood tests that say she's positive, but this is the sort >of thing that would totally freak me out if I were pregnant! Let me know >when/if I can calm down! Blood testing is not 100% reliable, and this is a rare, but not unknown situation. Typically, I will repeat the test the third time, and if there is any doubt whatsoever, go ahead a treat with the Rhogam (it won't hurt someone with Rh+ blood). Still, 2 sequential tests that are positive is fairly conclusive.
-- William D. McIntosh, MD, FACOG Clarksville, TN
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